PEDIATRIC INFECTIOUS DISEASE ASSOCIATES (NPI# 1679789333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679789333 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC INFECTIOUS DISEASE ASSOCIATES |
| Practice Address |
993 F Johnson Ferry Road Suite 370 Atlanta GA 30342 |
| Mailing Address |
993 F Johnson Ferry Rd Ste 370 Atlanta GA 30342 |
| Practice Telephone | 4042524611 |
| Mailing Telephone | 4042524611 |
| Mailing Fax Number | 4042561759 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRISTY LOCKERT (OFFICE MANAGER) |
| Authorized Official Telephone | 4042524611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians |
| Street Address |
993 F JOHNSON FERRY ROAD SUITE 370 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1780959635 | Nicole J Cohen | Pediatrics | 1600 Clifton Rd Ne # Msc-01, Atlanta, GA 30329-4018 | 2012-03-11 |
| 1215144472 | William Matthew Linam | Pediatrics | 2015 Uppergate Drive Room 534, Atlanta, GA 30322-3500 | 2007-05-17 |
| 1801978291 | Leanne M Fox | Pediatrics | Division of Parasitic Disease, Cdc, 4770 Buford Highway, Ne, Ms F-22, Atlanta, GA 30341 | 2006-10-19 |
| 1881621050 | Elizabeth R Miller | Pediatrics | 993-f Johnson Ferry Rd, Suite 370, Atlanta, GA 30342 | 2006-06-26 |
| 1851343701 | Frank Oliver Richards Jr. | Pediatrics | 2015 Uppergate Drive Ne, Atlanta, GA 30322-0001 | 2006-05-17 |
| 1720348485 | Jenny Anne Walldorf | Pediatrics | 550 Peachtree St Ne, Atlanta, GA 30308 | 2012-05-29 |
| 1932499589 | Amelia Anne Keaton | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1151 | 2011-04-17 |
| 1487955100 | Lakshmi Panagiotakopoulos | Pediatrics | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2010-11-11 |
| 1952628679 | Christina Allen Rostad | Pediatrics | 2015 Uppergate Dr Ne, 5th Floor, Atlanta, GA 30322-0001 | 2010-04-21 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on PEDIATRIC INFECTIOUS DISEASE ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.